Effects of surgeon and hospital volume on 5-year survival rates following oral cancer resections: The experience of an Asian country
SurgeryPublished 26 December 2007
Chia-Cheng Lin, Herng‐Ching Lin
Citations54
SJR quartileQ1
SJR score1.09
SNIP1.16
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
It is concluded that, for patients who underwent oral cancer resections, after adjusting for differences in the case mix, high-volume surgeons had better 5-year survival rates than other surgeons, however, this association was not discernible for high- volume hospitals.
Abstract
We conclude that, for patients who underwent oral cancer resections, after adjusting for differences in the case mix, high-volume surgeons had better 5-year survival rates. This association, however, was not discernible for high-volume hospitals.
Keywords
Medicine
CA A Cancer Journal for CliniciansGlobal cancer statistics
54,961 Citations2011Ahmedin Jemal, Freddie Bray +3 more
A substantial proportion of the worldwide burden of cancer could be prevented through the application of existing cancer control knowledge and by implementing programs for tobacco control, vaccination, and early detection and treatment, as well as public health campaigns promoting physical activity and a healthier dietary intake.
CA A Cancer Journal for CliniciansGlobal Cancer Statistics, 2002
18,390 Citations2005Donald Maxwell Parkin, Freddie Bray +2 more
There are striking variations in the risk of different cancers by geographic area, most of the international variation is due to exposure to known or suspected risk factors related to lifestyle or environment, and provides a clear challenge to prevention.
Journal of Clinical EpidemiologyAdapting a clinical comorbidity index for use with ICD-9-CM administrative databases
10,426 Citations1992Richard A. Deyo
It is concluded that the adapted comorbidity index will be useful in studies of disease outcome and resource use employing administrative databases.
New England Journal of MedicineSurgeon Volume and Operative Mortality in the United States
3,030 Citations2003John D. Birkmeyer, Thérèse A. Stukel +4 more
For many procedures, the observed associations between hospital volume and operative mortality are largely mediated by surgeon volume, and patients can often improve their chances of survival substantially, even at high-volume hospitals.
Annals of Internal MedicineIs Volume Related to Outcome in Health Care? A Systematic Review and Methodologic Critique of the Literature
1,680 Citations2002Ethan A. Halm, Clara Lee +1 more
A systematic review of the research evidence linking volume and outcome in health care is conducted, to summarize and describe the methodologic rigor of the existing literature, and to highlight the research and policy implications of these findings.
JAMAImpact of Hospital Volume on Operative Mortality for Major Cancer Surgery
1,654 Citations1998Colin B. Begg
The hypothesis that when complex surgical oncologic procedures are provided by surgical teams in hospitals with specialty expertise, mortality rates are lower is supported.
ACC Current Journal ReviewSurgeon volume and operative mortality in the United States
1,116 Citations2004John D. Birkmeyer, Thérèse A. Stukel +4 more
New England Journal of MedicineVariations in Morbidity after Radical Prostatectomy
847 Citations2002Colin B. Begg, Elyn Riedel +5 more
In men undergoing prostatectomy, the rates of postoperative and late urinary complications are significantly reduced if the procedure is performed in a high-volume hospital and by a surgeon who performs a high number of such procedures.
Journal of Clinical OncologyHospital and Physician Volume or Specialization and Outcomes in Cancer Treatment: Importance in Quality of Cancer Care
636 Citations2000Bruce E. Hillner, Thomas J. Smith +1 more
The literature suggests that, for all forms of cancer, efforts to concentrate its initial care would be appropriate, and the absolute benefit from care at high-volume centers exceeds the benefit from break-through treatments.
British journal of surgeryA systematic review of the impact of volume of surgery and specialization on patient outcome
607 Citations2007Moti Chowdhury, Haitham Dagash +1 more
Article examining the effects of one or more of three variables (hospital volume of surgery, surgeon volume and specialization) on outcome (measured by length of hospital stay, mortality and complication rate) were analysed.
Annals of SurgeryImportance of Hospital Volume in the Overall Management of Pancreatic Cancer
505 Citations1998Julie Ann Sosa, Helen M. Bowman +7 more
Patients with pancreatic cancer who are to be treated with curative or palliative procedures appear to benefit from referral to a high-volume provider, and increased hospital volume is associated with markedly decreased in-hospital mortality rates and a decreased or similar length of stay for all three types of procedures and with decreases or similar hospital charges for resections and stents.
SurgeryThe influence of hospital and surgeon volume on in-hospital mortality for colectomy, gastrectomy, and lung lobectomy in patients with cancer
394 Citations2002Edward L. Hannan, Mark Radzyner +3 more
For all 3 procedure groups, the risk-adjusted in-hospital mortality is significantly lower when the procedures are performed by high-volume providers.
Annals of SurgeryHospital Volume, Length of Stay, and Readmission Rates in High-Risk Surgery
316 Citations2003Philip P. Goodney, Thérèse A. Stukel +3 more
Although hospital volume may be an important predictor of operative mortality, it is not associated with resource use as reflected by length of stay or readmission rates.
Oral OncologyCervical lymph node metastasis in oral cancer: the importance of even microscopic extracapsular spread
283 Citations2003Julia A. Woolgar, S.N. Rogers +3 more
The Cox model showed the most predictive factor was extracapsular spread followed by status of resection margins, and should be incorporated into pathological staging systems especially in small-volume metastatic disease.
American Journal of Public HealthHospital volume differences and five-year survival from breast cancer.
254 Citations1998Patrick J. Roohan, Nina A. Bickell +4 more
ACC Current Journal ReviewProcedural volume as a marker of quality for cabg surgery
242 Citations2004Eric D. Peterson, Laura P. Coombs +3 more
While the association between volume and outcome was statistically significant overall, this association was not observed in patients younger than 65 years or in those at low operative risk and was confounded by surgeon volume.
Journal of Surgical OncologySurgeon volume compared to hospital volume as a predictor of outcome following primary colon cancer resection
225 Citations2003Deborah Schrag, Katherine S. Panageas +5 more
A strong association between high hospital procedure volume and survival following colon cancer resection has been demonstrated, but it is unclear whether hospital or surgeon volume is the more powerful predictor of outcomes.
JNCI Journal of the National Cancer InstituteRelation of Hospital Volume to Colostomy Rates and Survival for Patients With Rectal Cancer
218 Citations2003David Hodgson, William Zhang +4 more
Rectal cancer patients who underwent surgery at high-volume hospitals were less likely to have a permanent colostomy and had better survival rates than those treated in low- volume hospitals.
Oral OncologyTrends in oral cancer mortality in Europe
164 Citations2003Carlo La Vecchia, Franca Lucchini +2 more
Oral cancer was low, but moderately upwards in European women, mainly from central and eastern Europe, and some levelling of rates in some countries, such as Poland or the Czech Republic, was observed over more recent calendar years.
Head & NeckT1 and T2 squamous cell carcinoma of the oral tongue: Prognostic factors and the role of elective lymph node dissection
132 Citations1999Samuel W. Beenken, Helen Krontiras +4 more
This study describes prognostic factors in the disease and reviews the role of elective neck dissection in micrometastatic disease from squamous cell cancer of the oral tongue.
The Annals of Thoracic SurgeryNational Trends in Outcomes for Esophageal Resection
109 Citations2004Justin B. Dimick, Reid M. Wainess +3 more
The operative mortality rate for esophageal resection has declined over the past 13 years, particularly at high volume hospitals.
UrologyImpact of surgical volume on mortality and length of stay after nephrectomy
74 Citations2004David A. Taub, David C. Miller +4 more
A greater surgical volume, age younger than 65 years, elective conditions, and less comorbidity are associated with a significantly decreased risk of in-hospital mortality after nephrectomy, providing compelling evidence that hospital volume and patient characteristics have important effects on surgical outcome specific to renal neoplasms.
Clinical Medicine & ResearchNovel Management of Oral Cancer: A Paradigm of Predictive Oncology
56 Citations2004Jon Sudbø
New approaches, such as interventions with molecular-targeted agents and agent combinations in molecularly defined high-risk oral IEN patients, are urgently needed to reduce the devastating worldwide consequences of oral cancer.
European Journal of Surgical OncologyThe influence of case load and the extent of resection on the quality of treatment outcome in gastric cancer
51 Citations2005Hans‐Joachim Meyer
It is found that the best treatment results were seen in high volume hospitals with experienced surgeons, even taking into account extended surgical procedures.
Archives of SurgerySurgeon Characteristics and Variations in Treatment for Early-Stage Breast Cancer
50 Citations2007Mary Ann Gilligan
Several surgeon characteristics are significantly associated with variations in breast cancer treatment received, and these results warrant further investigation into the association between these surgeon characteristics and cancer care outcomes.
BMJ Quality & SafetyPhysician performance information and consumer choice: a survey of subjects with the freedom to choose between doctors
45 Citations2004Shou‐Hsia Cheng
Providing physician specific performance reports to the public may be viewed favourably by consumers of health care and have a significant impact on physician selection and hence quality improvement.
Acta Neurologica ScandinavicaSurgery for unruptured intracranial aneurysms in a low-volume neurosurgical unit
11 Citations2004Marco Horn, Michael K. Morgan +1 more
Evaluation of outcomes after surgical treatment for unruptured intracranial aneurysms in a low‐volume neurosurgical unit for patients with low volumes finds no significant difference in survival and morbidity.
